Engineering Manager, Synchronizer Core
NexHealth
$170,000 - $226,000 / year
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Description
About NexHealth
Our healthcare system remains frustratingly analog. When you live in a world of one-tap car rides, instant meal delivery, and unlimited streaming, why do you still have to call to schedule a doctor’s appointment and fill out a clipboard in the waiting room?
NexHealth’s mission is to accelerate innovation in healthcare by connecting patients, providers, and developers. We’re building the infrastructure layer for modern healthcare, connecting thousands of fragmented, on-premise, and closed EHR systems into a single, modern platform that powers software, APIs, payments, and patient experiences across the ecosystem.
- Founded: 2017
- Headquarters: San Francisco, CA
- Funding: $177M Series C
- Employees: 200+
- Trusted by tens of thousands of providers and hundreds of health-tech developers — forging the infrastructure layer that modern healthcare needs
About the Role
We are seeking an experienced Engineering Manager to lead the development of the Sync Core. Synchronizer provides native, real-time, bidirectional synchronization between numerous EHR systems of record and NexHealth’s harmonized central database. This foundation enables healthcare innovators to focus on improving patient experiences and outcomes—while we handle the underlying infrastructure.
This work represents step two in our three-step master plan. You’ll play a critical role in increasing engineering quality and execution velocity across the organization, making it easier and faster to build and extend Synchronizers. You’ll partner with multiple engineering teams and product managers to define the next-generation Synchronizer API offering.
This is an excellent opportunity for a hands-on leader who thrives in fast-paced environments and enjoys solving novel systems challenges. No prior healthcare experience required.
What You’ll Do
- Build and develop a high-performing team: Hire exceptional engineers and support their long-term growth through mentorship, coaching, and leadership development.
- Raise the bar on engineering excellence: Uphold strong technical standards through processes like architecture reviews, testing, and code quality practices.
- Drive platform strategy: Partner with engineering and product leadership to shape and execute long-term platform roadmaps, including the next-generation Synchronizer API.
- Lead cross-team execution: Coordinate closely across multiple engineering groups to deliver complex, cross-cutting, high-impact initiatives.
- Foster a strong engineering culture: Promote ownership, innovation, reliability, and continuous improvement as core expectations for the team
What You’ll Bring
- 5+ years of experience leading engineering teams, including managing managers
- A proven track record of coaching, developing, and supporting both engineers and managers
- Deep experience delivering complex, large-scale infrastructure or distributed systems
- Strong judgment in balancing engineering velocity with long-term technical quality
- Excellent collaboration skills with the ability to partner effectively across Product, Sales, Customer Success, and cross-functional stakeholders
- Demonstrated ability to define and drive technical and organizational roadmaps with measurable impact
- A builder mindset with a history of scaling teams and systems in fast-paced, high-growth environments
- Strong ownership and initiative, especially in ambiguous and evolving contexts
The ability to act as a change agent, helping guide our transformation into an API-first organization - A bias for action and data-driven decision making
- First-principles thinking applied to both technical and organizational challenges
- Deep care for people development, team health, and long-term success
- Alignment with NexHealth’s mission and core values
- BS/MS in Computer Science or a related field, or equivalent practical experience
Compensation
Actual salaries will vary depending on factors including but not limited to location, experience, and performance. The range listed is just the base salary component of NexHealth’s total compensation package for employees. Other benefits may include stock options, an unlimited paid time off policy, and up to 100% coverage on medical, vision and dental insurance.
Benefits
- Full Medical, Dental, and Vision (up to 100% covered)
- 401K and commuter benefits
- Flexible PTO
- High-impact work that directly improves the healthcare experience for millions
Our Values
- Solve the customer’s problems, not yours
When making decisions, think from the perspective of the customer. It’s easy to make decisions that make our lives simpler, but not the customers. - Do the things others are not willing to do
As a Nexer, always go after the hardest problems. Pursue things at the highest quality. Move at the fastest pace. - Take ownership
Act like a founder. Own your roles, destinies, mistakes, behavior, and our mission. The buck stops with each of us - no blaming or excuses. - Say what’s on your mind, with positive intent
Be direct, proactive, transparent, and frequent in your communication. - Default trust
As a Nexer, you do not have to earn trust, trust is given to you by default. If we by default trust each other, our speed of communication, feedback, information sharing, and overall improvements will be a lot faster. - Think in first principles
We first identify the problem and then break it down to its fundamentals before diving into solutions. We constantly ask “why” to validate our assumptions.
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We provide reasonable accommodation for individuals with disabilities to participate in the application or interview process. Contact talent@nexhealth.com to request assistance.
Benefits
- health insurance
- dental insurance
- 401(k)
- paid time off
About this role
NexHealth is building the infrastructure layer that connects fragmented healthcare systems into a modern platform, and they're looking for an Engineering Manager to lead the Synchronizer Core team—the real-time synchronization engine that lets healthcare innovators focus on patient experience rather than EHR integration complexity. This is a hands-on leadership role where you'd own team hiring and development, drive technical standards and architecture decisions, and partner across multiple engineering groups to execute on a next-generation API platform. The work sits at the center of the company's mission to modernize healthcare infrastructure.
You'd need at least five years managing engineering teams, including experience with managers, plus a strong track record delivering large-scale distributed systems. The role calls for someone who can balance shipping velocity with long-term technical quality, think in first principles about both technical and organizational challenges, and thrive in ambiguity. Healthcare domain expertise isn't required, but alignment with NexHealth's values—ownership, directness, default trust, and bias for action—matters. This suits a builder-minded leader who enjoys scaling both systems and people in a fast-growth environment.
The position is based in San Francisco and in-office, with a base salary of $170,000–$226,000 plus equity, full medical/dental/vision coverage, and unlimited PTO.
How this employer is doing
solid
- H1B: Sponsors Visas
- Recently Raised Funding
- Sponsors Visas
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Pay for this role
$170,000 to $226,000 per year
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